Schneider Katrin, Grossmann Florian, Jaiteh Christine, Knüppel Lauener Susanne
Department of Public Health, Institute of Nursing Science, University of Basel, Basel, Switzerland.
Clinic Selhofen, Addiction Specialist Clinic, Burgdorf, Switzerland.
Scand J Caring Sci. 2025 Sep;39(3):e70083. doi: 10.1111/scs.70083.
To explore an Advanced Practice Nurse's contributions to the health care of hospitalised polysubstance-dependent patients undergoing opioid agonist therapy from the perspective of patients and involved professionals.
A single-case study was conducted using Interpretive Description methodology. The Advanced Practice Nurse's service served as the case examined from the perspectives of the patients and the involved health care professionals.
We conducted five guided individual interviews (patient n = 4, professional n = 1) and two focus group interviews (hospital-internal n = 4, -external n = 5 professionals).
Overall, seven themes were identified. Of these, five involve the Advanced Practice Nurse's activities: 'use specialised knowledge and experience'; 'act as a leading and coordinating reference person'; 'mediate between worlds'; 'build relationships and trust' and 'embody solution-oriented support'. The two remaining themes-'provide relaxation' and 'effectively improve patient care'-describe the impact of the APN's activities.
The APN service improves clinical practice and closes a healthcare gap for polysubstance dependent patients in acute hospitals. We recommend developing similar services in other acute somatic hospitals and conducting quantitative research on the service's effectiveness. In addition, we suggest that the education of the treatment teams should be supported by continuous active learning processes in the workplace in order to promote transformation towards a person-centred culture.
从患者及相关专业人员的角度，探讨一名高级实践护士对接受阿片类激动剂治疗的住院多物质依赖患者的医疗保健所做的贡献。
采用诠释性描述方法进行单案例研究。以患者和相关医疗保健专业人员的视角，将高级实践护士的服务作为案例进行研究。
我们进行了五次有引导的个人访谈（患者4名，专业人员1名）以及两次焦点小组访谈（医院内部专业人员4名，外部专业人员5名）。
总体而言，确定了七个主题。其中五个涉及高级实践护士的活动：“运用专业知识和经验”；“充当主导和协调的参考人物”；“在不同领域之间进行调解”；“建立关系和信任”以及“体现以解决问题为导向的支持”。其余两个主题——“提供放松”和“有效改善患者护理”——描述了高级实践护士活动的影响。
高级实践护士服务改善了临床实践，并填补了急症医院中多物质依赖患者的医疗保健缺口。我们建议在其他急症躯体医院开展类似服务，并对该服务的有效性进行定量研究。此外，我们建议治疗团队的教育应通过工作场所持续的主动学习过程来支持，以促进向以患者为中心的文化转变。
